A patient on a medical- surgical floor reports having shortness of breath. The nurse needs to conduct which type of assessment? - Ans-A problem-based/focused assessment For which patient is a shift assessment indicated? - Ans-The person who had abdominal surgery yesterday Which of the following examples represents a secondary prevention level of health promotion? - AnsBlood pressure screenings Which of the following is an example of objective data? - Ans-Vomiting A nurse suspects a patient is a victim of physical abuse. Which response by the nurse will most likely encourage the patient to confide in the nurse? - Ans-"I've seen people who have been hurt by their significant others. Do you feel safe in your home?" A patient answers questions quietly and appears sad. While answering questions about her marriage, she begins to cry. Which response by the nurse is appropriate in this situation? - Ans-"I see that you are upset. Is there something you'd like to discuss?" A nurse is interviewing a patient. Which of the following questions is an open-ended question? - AnsCan you tell me how you have been feeling? When interviewing a patient to obtain a health history, asking if the patient has "dypsnea" can fall into which of the following systems? - Ans-Respiratory and Cardiovascular A nurse asks a patient to rate their pain on a scale of "0-10". This is which part of the mnemonic for symptom analysis of "OLD CARTS"? - Ans-Severity When examining a patient, the nurse remembers to follow which principle of Standard Precautions? - Ans-Wear gloves when in contact with the patient's blood or other body fluids. Which of the following is a correct statement regarding the technique LIGHT palpation? Light palpation is - Ans-Used to assess tenderness The nurse is unable to hear the patient's breath sounds. To determine the cause of this problem the nurse needs to ensure that the - Ans-valve is open to the diaphragm on the head of the stethoscope. A nurse is preparing to take a patient's blood pressure. The blood pressure cuff is too narrow (small). How accurate will this patient's blood pressure be using this blood pressure cuff? - Ans-Higher than the actual value Where does the nurse attach the sensor probe of the pulse oximeter to measure a patient's oxygen saturation? - Ans-Around the patient's index fingernail During a physical assessment of an elderly adult, the nurse has difficulty palpating the patient's dorsalis pedis pulses. Which piece of equipment would be helpful during this assessment? - Ans-Doppler A patient on a cardiac floor is complaining of chest pain. The nurse needs to conduct which type of assessment? - Ans-A problem-based focused assessment An example of Primary prevention of Health Promotion is: - Ans-Immunizations Which of the following is an example of subjective (symptoms) data? - Ans-Headache Which of the following is one of the goals of Healthy People 2020? - Ans-To promote quality of life & healthy behaviors across all life stages During a mental health assessment, a women begins to cry when the nurse asks about her marriage. Which action by the nurse is most therapeutic? - Ans-" I see that you're upset. Can you discuss why you're feeling this way?"